Anticoagulation
Per our DTI guideline, aPTTs should be drawn at this frequency while titrating to goal levels
What is 6 hours
The lowest FdO2 and Sweep that a V-A ECMO should be titrated to.
What is 60% and 2L respectively
ECMO alarm limits should be set at this percentage above and below an ECMO parameter such as blood flow or venous pressure.
What is 20%
These required simulations will take place between August and November 2024.
What is ELSOs 5 Essential Simulations
This therapy can be used for a 3-5 day period if the patients CO2 is elevated and their oxygenation is normal; however, it should be used sparingly since evidence shows there is no mortality benefit.
What is ECCO2R
This is the recommended first line anticoagulant for patients with Antiphospholipid Syndrome (APLS).
What is Heparin
At this sweep, a patient on V-V ECMO should be evaluated for a sweep gas off trial (SGOT).
What is 2L or less
The frequency of which MicroClaves must be changed out.
What is every 96 hours (4 days)
This nonabsorbable, braided suture is our current standard "go to" suture for our ECMO patients.
What is #1 Ethibond Excel
This DPC is not wire-bound and is NOT commonly used at our center.
What is Terumo Pinnacle/Pinnacle
To protect the patient from thromboembolisms caused by the foreign surface of the ECMO circuit, this protein should be given to maintain a level of 60%
What is antithrombin III (ATIII)
(PEDS) The weight at which a pediatric ECMO patient can be transported to CT by an ECMO Specialist.
What is greater than 20 kgs
(PEDS) The maximum blood flow capability of the AMG oxygenator.
What is 1.5 LPM
The minimum number of hours prior to a scheduled surgical procedure that systemic anticoagulation should be discontinued.
What is 6 hours
This salvage therapy can be used for patients who fail to wean off ECMO support after 10 days.
What is Proning
A Hepcon result can allow a provider to calculate this medication.
What is Protamine
According to our V-V ECMO hypoxemia guideline, this is the acceptable range to keep our patients SaO2.
What is 80-95%
The three ways an oxygenator can fail.
What is O2 or CO2 transfer capabilities, obstructed blood flow, and hematologic abnormalities
(PEDS) These are the 3 sizes of Crescent cannulas that have a 1/4" connector.
What is a 13 Fr, a 15 Fr, and a 19 Fr
The second "T" in "HITT" (as opposed to HIT)
What is thrombosis (Heparin induced thrombocytopenia (HIT) with Thrombosis)
This Antifibrinolytic is only FDA approved for tooth extraction bleeding in hemophilia patients (1986) and menorrhagia (heavy periods) (2009).
What is Tranexamic Acid (TXA)
This score looks at 6 parameters to calculate the probability of good neurological outcome after ECLS rewarming.
What is Hypothermia Outcome Prediction after ECLS (HOPE)
This hemostatic non-woven material is impregnated with Kaolin and must be removed from the cannula site within 48 hours.
What is QuikClot
This is the law that governs how pressure dynamics work within ECMO cannulas.
What is Hagen-Poiseuille Law
By adding an 8% CO2 volume to the ECMO circuit, this is the expected CO2 level that can reliably be obtained while performing an apnea test on ECMO.
What is greater than 60 mmHg